For HME providers, revenue cycle management (RCM) is not just about billing – it is the foundation of financial health. A strong RCM process keeps cash flowing, reduces risk and provides the stability organizations need to grow. However, the reality is that many providers struggle with open A/R balances, delayed payments and compliance challenges that put margins at risk. Without clear visibility into performance metrics, providers are often left managing revenue cycles in the dark, relying on activity rather than outcomes.
In a recent conversation with NikoHealth, Prochant CEO Joey Graham and VP of HME Services BJ Martinelli unpacked these challenges and shared how Prochant is helping providers rethink their approach to RCM. Drawing from Joey’s unique background, 10 years on the provider side and now more than a decade leading Prochant, he explained why an operator mindset is so critical in this space. That philosophy has shaped Prochant’s rapid growth, scaling from 400 to nearly 3,000 employees in just five years, while keeping the focus on what matters most: getting providers paid quickly, compliantly and consistently.
The discussion highlighted how Prochant blends people, process and technology to deliver results. With Prochant Pulse™, its proprietary platform, the company leverages automation and AI to streamline workflows while keeping humans in the loop to ensure accuracy. Joey emphasized that doing RCM right isn’t about touching more claims. Rather, it’s about achieving outcomes that are audit-ready, compliant and financially impactful. Looking ahead, he also pointed to industry pressures such as Medicaid redeterminations, competitive bidding and value-based care as challenges that will require strong partnerships and smarter processes to navigate.
Key Takeaways:
- Prochant’s “north star” is net collections of 95%+ – a benchmark providers should strive for to ensure financial stability.
- Doing RCM right requires compliance-first processes and teams that deeply understand HME, not just claim volume.
- Visibility into metrics is essential. Providers can’t manage revenue cycles effectively without clear data.
- AI and automation, built into Prochant Pulse™, improve efficiency but still require human oversight.
- Future headwinds, such as Medicaid changes and competitive bidding, will demand flexible, outcomes-driven RCM strategies.
Watch the full podcast here: Navigating the Complex Landscape of Revenue Cycle Management with Prochant.
